Bonyadlou, Shahram
Bonyadlou, Shahram is an individual health care provider with primary practice located at 1500 San Pablo St Fl 2 , Los Angeles CA 90033-5313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Bonyadlou, Shahram can be contacted via phone (323) 442-8541.Contact Information
Primary practice address
1500 San Pablo St Fl 2
Los Angeles CA 90033-5313
Phone: (323) 442-8541
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | A80028 | California |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | A80028 | California |
Profile Details
NPI number | 1982651915 |
---|---|
LBN Legal business name | Bonyadlou, Shahram |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Nov 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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